chest

Question 1

adventitious sounds

Answer 1

abnormal lung sounds

Question 2

high pitched, discrete sounds heard during the end of inspiration; not cleared by cough

Answer 2

fine crackles

Question 3

lower, more moist sound heard during mid-stage of inspiration; not cleared by cough

Answer 3

medium crackles

Question 4

loud, bubbly noise heard during inspiration; not cleared by cough

Answer 4

coarse crackles

Question 5

loud, low coarse sounds heard continuously during breathing; may be cleared by cough

Answer 5

rhonchi

Question 6

musical noise sounding like a squeak, most often heard continuously during breathing but louder at expiration

Answer 6

wheeze

Question 7

dry rubbing, creaking, or grating sound caused by pleural space inflammation. loudest over lower anterolateral surface

Answer 7

pleural friction rub

Question 8

loud, high pitched gasp during inspiration

Answer 8

stridor

Question 9

listening to tactile fremitus with stethoscope

Answer 9

vocal resonance

Question 10

increased intensity and clarity of sounds heard over bronchus

Answer 10

bronchophony

Question 11

spoken “ee”

Answer 11

egophony

Question 12

whispered words should sound faint and indistinct in normal lung

Answer 12

whispered pectoriloquy

Question 13

asthma exam findings

Answer 13

decreased fremitus; hyperresonant, low diaphragm; prolonged expiration, wheezes, decreased lung sounds

Question 14

emphysema exam findings

Answer 14

decreased fremitus, liver displaced downward; hyperresonance; decreased vocal fremitus, decreased heart and lung sounds, may hear adventitious sounds

Question 15

chronic bronchitis exam findings

Answer 15

often normal; often normal, resonance; early crackles, rhonchi, expiratory wheezes, prolonged breath sounds

Question 16

pneumonia exam findings

Answer 16

increased tactile fremitus with consolidation; dullness to percussion; crackles, rhonchi, bronchial breath sounds

Question 17

pulmonary embolism exam findings

Answer 17

usually normal palpation, percussion and inspection

Question 18

pulmonary edema exam findings

Answer 18

normal palpation and percussion; early crackles, wheezes

Question 19

pneumothorax exam findings

Answer 19

diminished tactile fremitus, subQ crepitus; hyperresonant; diminished breath sounds and whispered voice sounds

Question 20

pleural effusion exam findings

Answer 20

decreased tactile fremitus; dull to flatness, hyperresonant note in area superior to effusion; diminished breath sounds, crackles superior to effusion

Question 21

atelectasis exam findings

Answer 21

decreased tactile fremitus; dullness; absent breath sounds

Question 22

ARDS exam findings

Answer 22

palpation and percussion often normal; crackles and decreased lung sounds late

Question 23

tympanic sound

Answer 23

loud intensity, high pitch, moderate duration, drumlike quality. gastric bubble

Question 24

hyperresonant

Answer 24

very loud intensity, low pitch, long duration, boomlike quality. emphysematous lung

Question 25

resonant

Answer 25

loud intensity, low pitch, long duration, hollow quality. healthy lung tissue

Question 26

dull

Answer 26

soft to moderate intensity, moderate to high pitch, moderate duration, thudlike quality. over liver

Question 27

flat

Answer 27

soft intensity, high pitch, short duration, very dull quality. over muscle